RENEE L BLAHA - Physician Assistant License in Wisconsin | # 085002219

RENEE L BLAHA

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002219

License Status

INACTIVE

Business

N

First Name

RENEE

Middle

L

Last Name

BLAHA

Business Name

RENEE L BLAHA

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

03/01/2006

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006